The Open University

 

 

Student Profile Form

 

 

Dear Student

It would greatly assist me in your studies this year if you could let me have a little background information about yourself and an idea of any concerns you might have.  I should be grateful therefore if you would kindly complete and return this form to me as soon as possible.  Please be assured that this is a document between ourselves and I shall not discuss the contents with anyone else.  Please do not hesitate to get in touch if you need to.  Thank you.

 

Student Name:

 

Personal Identifier:

 

Course:

 

Keeping in touch

 

·        How are you best contacted during the year?

 

Phone numbers:   home:

                                    Other (specify)

                                    Best times to contact

 

  Do you hope to come to tutorials?      Yes/No

 

If you are unable to come and would like me to know the reasons why, please indicate below;

 

 

 

 

 

 

 

  Self-help Study Group: Are you willing for me to pass on details of your name, telephone number and email address to other students (and give you theirs) to help establish a self-help study group?

 

Yes                 No

 

You and your studies

 

 

 

 

 

 

 

 

 

 

 

  You as a person

 

If you wish, please give brief personal information (occupation, family, interests etc.) which might help to give a fuller picture of you.

 

 

 

 

 

 

 

Are there any other things which might affect your studies, or any other concerns you might have (health circumstances, personal situation etc.) which you would like me to know about?

 

 

 

 

 

 

D.McGregor 2007